# MR. DOUGLAS EDWARD SPROUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790837805
- **Gender:** Man
- **Credential:** MASTERS IN SOCIAL WO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 365 | MO | Yes |
| 1041C0700X | Clinical Social Worker | 001033 | MO | — |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 09/11/2025